Individual provider Active NPI

Denise C. Carlstrom, D.C.

  • Chiropractor
  • Jupiter, FL
National Provider Identifier
1558370478
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7725 Issued in FL
Practice address
1102 W Indiantown Rd
Suite 11
Jupiter, FL 33458-6813
Phone
(561) 741-1316
Fax
(561) 741-1375
NPI assigned
Aug 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7725 FL Primary

Addresses

Primary practice location

1102 W Indiantown Rd
Suite 11
Jupiter, FL 33458-6813

Mailing address

1102 W Indiantown Rd
Suite 11
Jupiter, FL 33458-6813
Phone (561) 741-1316

Other identifiers 2

IdentifierTypeStateIssuer
CH7725OtherFLSTATE LICENSE
55870OtherFLBCBSFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH7725FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nielson Family Chiropractic PLLC Chiropractor PastSince Sep 1, 2022 Accepting new patients
Carlstrom Family Chiropractic Center PA Chiropractor PastSince Sep 1, 2008 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313625600000",
    "number": "1558370478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 W INDIANTOWN RD",
            "address_2": "SUITE 11",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334586813",
            "telephone_number": "561-741-1316",
            "fax_number": "561-741-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 W INDIANTOWN RD",
            "address_2": "SUITE 11",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334586813",
            "telephone_number": "561-741-1316",
            "fax_number": "561-741-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSTROM",
        "first_name": "DENISE",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2011-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "CH7725",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "55870",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.